Sponsored symposia and exhibitor lectures
The following lectures from BSAVA's virtual Congress 2021 were provided by our sponsors and exhibitors and are free to access. Visit our Congress on Demand information page for information about how to access the rest of our 2021 congress lectures.
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Urinalysis and uroculture are an integral part of investigating urinary tract signs, but it’s important to get the right samples and interpret results in light of the clinical presentation. Urinalysis with sediment and urine culture are a cornerstone of the investigation of lower urinary tract signs. To maximise their value it is important to get the right samples and only test patient with appropriate clinical signs. Additionally, interpreting results of urinalysis is impacted by the collection method and storage of the sample, and for culture cystocentesis samples are preferred. Ideally, while awaiting the results, antibiotic treatment should be withheld to reduce the likelihood of choosing an inappropriate antibiotic, which can lead to bacterial resistance. Bacterial cystitis should always be treated with first line antibiotics provided the sensitivity results support it. The use of newer generation antibiotics should be avoided unless there is no suitable alternative. In recurrent cystitis it is paramount to identify and correct the underlying cause to have a successful treatment.
Canine hyperadrenocorticism is the third most common canine endocrinopathy in the UK, affecting an estimated 1 in 400 dogs. 85% of dogs with hyperadrenocorticism have a pituitary tumour, resulting in high circulating adrenocorticotropic hormone that stimulates excessive cortisol production by the adrenal gland. The reported treatment of choice for pituitary dependent hyperadrenocorticism is hypophysectomy, but the availability of this technique is limited. Medical treatment with trilostane is the most common treatment. Trilostane treatment aims to reduce cortisol production in the adrenal gland, but it is associated with a 16% rate of adverse effects and requires lifelong treatment and ongoing hormone testing. Bilateral laparoscopic adrenalectomy is presented as a safe and valid, alternative treatment option for pituitary dependent hyperadrenocorticism, with case examples and surgical videos.
